Encounters Technical Analyst

Posted 11 Hours Ago
Be an Early Applicant
48 Locations
In-Office or Remote
47K-122K Annually
Junior
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Analyzes healthcare claims and encounter data, writes SQL queries and reports, investigates data trends and anomalies, performs root cause analysis, and develops solutions and system enhancements. The role also supports testing, defect reporting, project prioritization, and stakeholder collaboration across teams. Candidates need experience with large datasets, data warehouses, healthcare claims or encounters, and complex SQL. Preferred experience includes QNXT, Edifecs, EDI files, test scripting, and Agile methodologies.
Summary Generated by Built In

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Analyst, Informatics (Encounter Technical Analyst) is responsible to analyze and document business data and processes, conduct root cause analysis, and create reports or other solutions as needed to support business needs. This position is responsible to conduct analysis or produce reports of varied claim and encounter data.

Additional responsibilities to include but not limited to the following:

  • Daily activities include writing simple to complex SQL queries, procedures, and reports on both an ad hoc and production basis for analysis of data trends or anomalies impacting business success.
  • Proactively define, identify, develop, and implement system enhancements or modifications to support business strategic goals.
  • Assists and participates in the development and prioritization of system updates. Executes test scripts and reports outcomes or defects.
  • Candidate must be proficient in SQL, able to write and modify queries, interpret results, conduct root cause analysis, develop short- and long-term solutions following through to completion.
  • Demonstrated ability to manage multiple projects forward simultaneously and be responsible for the results.
  • Ability to establish relationships with internal and external stakeholders.

Required Qualifications

  • 1 plus years of relevant programming or analytical experience. Including development and experience with writing complex queries using SQL.
  • Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.
  • Demonstrated analytical and problem-solving skills.
  • Strong written and verbal communication skills and ability to present information to various audiences.
  • Strong collaboration skills within and across teams.
  • Claims/Encounters experience. (Healthcare Industry experience)

Preferred Qualifications

  • QNXT or Edifecs experience.
  • Experience with Electronic Data Interchange (EDI) files.
  • Experience with test script development and execution.
  • Experience with Agile methodologies.

Education

Bachelor’s degree or equivalent work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 09/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • At least 1 year of relevant programming or analytical experience
  • Experience writing complex SQL queries
  • Experience working in a data warehouse environment
  • Ability to work with large datasets from multiple data sources
  • Analytical and problem-solving skills
  • Strong written and verbal communication skills
  • Ability to present information to various audiences
  • Strong collaboration skills within and across teams
  • Claims or encounters experience in the healthcare industry
  • Bachelor's degree or equivalent work experience
  • QNXT or Edifecs experience
  • Experience with Electronic Data Interchange files
  • Experience developing and executing test scripts
  • Experience with Agile methodologies

CVS Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.

  • Healthcare Strength Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
  • Retirement Support A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
  • Wellbeing & Lifestyle Benefits Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.

CVS Health Insights

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The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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